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23D-203 (3)
110 MAPLEWOOD TER BP-2021-0809 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:23D-203 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WI TH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: Bath reno BUILDING PERMIT Permit# BP-2021-0809 Project# JS-2021-001378 Est. Cost: $20000.00 Fee: $130.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: CRAIG MARNEY 057159 Lot Size(sq. ft.): 12022.56 Owner: KLEBER RODNEY E Zoning: URB(1.00)/ Applicant: CRAIG MARNEY AT: 110 MAPLEWOOD TER Applicant Address: Phone: Insurance: P O Box 128 (413) 586-5512 WC LEEDSMA01053 ISSUED ON:1/20/2021 0:00:00 TO PERFORM THE FOLLOWING WORK:RENO 1ST FLOOR BATH POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: • Rough: Rough: _ /r -a \ House# Foundation: (2,0_,V Driveway Final: Final: �j/�J$''.,v/ Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: 0,k THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND RE U TIONS. ! I 3-11 • Certificate of /_, / Signatur; � 1 FeeType: Date Paid: Amount: Building 1/20/2021 0:00:00 $130.00 212 Main Street, Phone(413)587-1240, Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner 110 MAPLEWOOD TER EP-2021-0680 COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Map: 23D Lot:203 ELECTRICAL PERMIT Permit: Electrical Category: 1ST FLOOR BATHROOM OLD WORK 3 LIGHTS,BATH FAN/LIGHT Permit# Electrical PERMISSION IS HEREBY GRANTED TO: Project# JS-2021-001378 Est.Cost: Contractor: License: Fee: $65.00 GRAHAM ELECTRIC MASTER ELECTRICIAN 15396A Owner: KLEBER RODNEY E & DIANE L Applicant: GRAHAM ELECTRIC AT.• 110 MAPLEWOOD TER Applicant Address Phone Insurance PO Box 1 (413) 268-3636 C-(413) 212-7773 Liability, MPT8466W HAYDENVILLE MA01039 ISSUED ON:2/19/2021 0:00:00 TO PERFORM THE FOLLOWING WORK: 1ST FLOOR BATHROOM OLD WORK 3 LIGHTS, BATH FAN/LIGHT Call In Date: Date Requested Inspection Date/SignOff: Reinspect?: Trench/UG: Special Instructions x Rough x Special Instructions:` /` `'Final: i1 SRE Called In: Signature: Fee Type:: Amount: DatePaid Electrical $65.00 2/19/2021 0:00:00 4141 212 Main Street,Phone(413)587-1244,Fax(413)587-1272-Inspector of Wires -Roger Malo -11* t cib cf4/(14,1g MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERF K is;. CITY i yeAex1 „ �, MA DATE —c),(5 PERMIT# e Ai r 0153 JOBSITE ADDRESS i i1J Q TeZ OWNER'S NAMEr a ,rQ- ) K ° __._-`-_-_] P OWNER ADDRESS SailY>,Q... �^ TELj c S-- W-41 j. lFAX 1 TYPE OR OCCUPANCY TYPE COMMERCIAL Q EDUCATIONAL © RESIDENTIAL PRINT / CLEARLY NEW:L RENOVATION:i__.I REPLACEMENT:L 1 PLANS SUBMITTED: YES(I N00°. FIXTURES 1 FLOOR—. BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB 1-- i___.1�_ry —_ _11__._. 1 I...- CROSS CONNECTION DEVICE r ut - -- aI DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIL/SAND SYSTEM f_—,C._ — DEDICATED GREASE SYSTEM { DEDICATED GRAY WATER SYSTEM i II DEDICATED WATER RECYCLE SYSTEM DISHWASHER RINI -- —_— --- Y � DRINKING FOUNTAIN � _r-- ,I_ , FOOD DISPOSER { .::__ r_. _1 — FLOOR/AREA DRAIN _ INTERCEPTOR(INTERIOR i 1' KITCHEN SINK _ i _, ® , . _ . �_.- t=_-, LAVATORY -- ROOF DRAIN ®SHOWER STALL -N—._ SERVICE/MOP SINK TOILET -- a NORTHAcMPtON — URINAL WASHING MACHINE CONNECTION —jr- I � � I WATER HEATER ALL TYPES 1 `F � 1 �. � ~� �` a , WATER PIPING 1 ,r--.., r _,, -_i OTHER r._ — —1--- —t r - - ._ INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES l_ NO .__j IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY El OTHER TYPE OF INDEMNITY El BOND l._l OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: 0if R �__ AGENT L. SIGNATURE OF OWNER OR AGENT 1 hereby certify that all of the details and information I have submitted or entered regarding this application are true a . ac .rate o the b- .f iy knowledge Massachusetts State PlumbingCode and Chapter 142 of the General La issued for this application will be in complia ce h• all ine pravf he andthat all plumbing work and installations performed under the permit / p Laws. PLUMBER'S NAME Gary A.Wilson Jr 1 LICENSE#110839 1 'MI s' MPH JP _; CORPORATION #2885C jPARTNERSHIP J#L � LLCI #( COMPANY NAME j Wilson Services Inc j ADDRESS P.O.Box 1570 J CITY'Northampton I STATE MA J ZIP 01061I, I TEL r413 584-3317 FAX 413-584-3377 1 CELL EMAIL Lgary@wilsonph.com 2 -✓ l-21 i'